Villa Mary Immaculate

NPI 1144215625 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1144215625
Enumeration Date 09/12/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GLEN GLEN
Position EXECUTIVE DIRECTOR
Phone (518) 525-7600
Fax (518) 525-7673
Practice Location
301 HACKETT BLVD
ALBANY NY, 12208-1963, US
Phone (518) 525-7600
Fax (518) 525-7673
Business Location
301 HACKETT BLVD
ALBANY NY, 12208-1963, US
Phone (518) 525-7600
Fax (518) 525-7673
Toxanomy
Taxonomy Code 314000000X
License State New York
License Number 0101305N
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According to our database, Villa Mary Immaculate NPI is 1144215625, taxonomy code is 314000000X and license number is 0101305N, license state is located at New York. Villa Mary Immaculate physically located at 301 Hackett Blvd, Albany NY, 12208-1963. NPI Number 1033115704 has the healthcare provider type.

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1144215625 NPI number is provided on an as is basis without warranty of any kind. 1144215625 is maintained by the National Plan & Provider Enumeration System. The contents of Villa Mary Immaculate are for informational purposes only.